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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 823
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I LC>I No. I Block I Ward ___I Addition or Replat
OUTSIDE WORK
Date
NI"« SEWEI WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaID to Curb Soplic Tonks From Moin to Curb
FIom Curb to BuDding Eleclric Pumps From Curb to Building
Ropair
INSIDE WORK
NO. NEW REP. USEe filS NO. NEW REP. USED fElS "O. NEW REP. USED fEES
- - - -- - -
BathTub V JO~ Garbago DIopooala Catch BuiDs
-
Wuh Basin ¿..-- ¡HI Dishwashers Conductors
- - - - -
Water Clooot / ¡re Laundramats Gre... Catch Basins
-
SIDk Water Softeners Sump Pump 8< Ejectors
Water Heaten Sanituy Bubblers Bar and Soda Wastes
Shower Baths Urinals
Floor Dr8IDs Dental Cuspido" I~ 1-
- -
Laundry Tube Sorvice Sinks
IDSpoc:t1oDS Valuation 01 ~Work Herein Described Fee Verified. Re<:eipted and Recorded Received Permit and Inspecllon Fees
--.....-......--............--......-........Outslde $...~.Q.O..:....._......................_.._.._................ ::.:::.::~,.~:~~r F:7
......-...........................-...........-.._....wlde
-....-.-...-..-.....-.-........-..-...........-- $... .................................-...-......................."""-
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----.--...-.-.......-.....--Final OK $..........................................-......-............-....-.- Dale 1/-"1' 77
In the porformlnce of this work the undersigned owner (or his luthorired agent) of said premises and his luthorired Plumber hereby Igreo to be bounden by ."d
submit to III statuto., city ordinances, and rules and regulationspro.cribed by the Board of Public Works for the governmont of Plumbors.
It Is futhe. agreed by the undersigned that no othe. uses will be mede of the above connoction. except IS hereinlltl' listed.
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